Insurance contract or identification number | 570575 |
Number of Individuals Covered | 172 |
Insurance policy start date | 2020-09-01 |
Insurance policy end date | 2021-08-31 |
Total amount of commissions paid to insurance broker | USD $27,079 |
Total amount of fees paid to insurance company | USD $5,575 |
Dental Insurance Welfare Benefit | Yes |
Vision Insurance Welfare Benefit | Yes |
Life Insurance Welfare Benefit | Yes |
Temporary Disability Insurance Welfare Benefit | Yes |
Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT, ACCIDENT, CRITICAL ILLNESS, HOSPITAL |
Welfare Benefit Premiums Paid to Carrier | USD $120,026 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
Commission paid to Insurance Broker | USD $7,356 |
Amount paid for insurance broker fees | 5575 |
Additional information about fees paid to insurance broker | FEES |
Insurance broker organization code? | 3 |